Individual
MR. HARVE LEROY DORMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LADC/MH
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361
(918) 825-1405
(918) 876-3436
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 825-1405
(918) 876-3436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
986
OK
101YM0800X
Mental Health Counselor
4959
OK
Other
Enumeration date
02/19/2007
Last updated
08/13/2018
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